SearchIllinoisCertified Registered Nurse Anesthetist

Jeffry Peterson, CRNA

NPI 1164569729 · on the registry since 2007

Practice

Address
10117 Pine Crest Rd
Red Bud, IL 62278
Phone
(618) 282-2872

Additional practice sites

  • 818 E Broadway St, Sparta, IL

Registry record

Primary taxonomy
Certified Registered Nurse Anesthetist
367500000X
Also registered as
Certified Registered Nurse Anesthetist
Certified Registered Nurse Anesthetist
Licence states on file
KY, MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois